Objective: To compare the optimum imaging modality to assess the various kinds of Shajjah hurt in MLE cases of head injuries. Study Design: Cross-sectional study. Setting: Department of Forensic Medicine and Toxicology at Gambat Medical College at Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, GAMBAT. Period: March 2021 to February 2022. Material & Methods: Medicolegal cases of head injuries of all age groups (infant to old) and of either gender presented to the Emergency department for treatment and medicolegal certification were included. 164 medicolegal cases of moderate to severe head injuries were included based on Glasgow Coma Scale (GCS) score of 12 or less. Injuries were categorized according to age, gender, kinds of Shajjah and modality with which the type of Shajjah hurt was diagnosed. Results: X-Rays failed to detect Shajjah hurt in at least one-fourth of the cases. X-Rays misdiagnosed 5 cases of Munaqillah, 48 cases of Ammah, and 21 cases of Damighah as Shajjah e Hashimah. X-rays also misdiagnosed the 16 cases of Shajjah e Ammah and 7 cases of Shajjah e Damighah as Shajjah e Munaqillah (fracture with dislocation). CT scan accurately diagnosed 16 (9.76%) cases as Shajjah hashimah, 20 (12.2%) as Shajjah Munaqillah, 79 (48.17%) as Shajjah Ammah, and 49 (29.88%) as Shajjah Damighah. Conclusion: In comparison to X-ray, CT scan had superior performance in correctly assigning the type of Shajjah hurt.
Aim: To determine the pattern of injuries in the genito-anal area in cases of sexual assault Study Design: Cross-sectional study Place and Duration: This study was conducted at Liaquat University of Medical and Health sciences Jamshoro, Pakistan from June 2020 to July 2021 Methodology: A total of 96 victims of assault, who survived rape, were incorporated. The victims were from all groups of ages. All the patients considered in this study were both male and female. All of them had reported the case to the police and community. Results: There were 84.5% cases of penile-anal penetration, 76% of penile-oral penetrate and 48% of assault victims presented with ano-genital bleeding. Most of the cases of sexual assault considered in this study were not completely investigated previously. Conclusion: The study concludes that the most common pattern of injury after sexual assault was penile-anal penetration. Penile-oral penetration was the second most common injury. Nothing can undo whatever a sexual assault victim has to go through but catching and punishing the perpetrator is a necessary step. Genital injuries are not proof of a sexual assault. A sexual assault does not necessarily leave the genital area injured.
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